Individual provider Active NPI

Kevin Joseph Franke, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1760450894
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071003748 Issued in IL
Practice address
20 N Wacker Dr
Suite 1931
Chicago, IL 60606-2806
Phone
(312) 920-1992
Fax
(312) 263-2530
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071003748 IL Primary

Addresses

Primary practice location

20 N Wacker Dr
Suite 1931
Chicago, IL 60606-2806

Mailing address

912 Simpson St
Evanston, IL 60201-3118
Phone (312) 920-1992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031212000164 IL Practitioner - Clinical Psychologist 8224934849 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 N Wacker Dr
Suite 1931
Chicago, IL 60606-3001
Phone (312) 920-1992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1760450894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SIMPSON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013118",
            "telephone_number": "312-920-1992",
            "fax_number": "312-263-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N WACKER DR",
            "address_2": "SUITE 1931",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062806",
            "telephone_number": "312-920-1992",
            "fax_number": "312-263-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKE",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.